1. Proposal Title*
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| 2. Applicant information* |
| Applicant name, affiliation and contact details. |
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Name
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Affiliation
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Address
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City, State, Postal Code
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Email
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Phone
Fax
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Brief summary of prior research and clinical trials conducted by the applicant.
(including titles and references to relevant publication) (Limited 500 words)
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Key collaborators / co-investigators including name, affiliation and contact details.
Collaborator #1
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Name
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Affiliation
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Address
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City, State, Postal Code
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Email
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Phone
Fax
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3. Briefly describe the project:
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4. What is the timeline?
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5. What is the objective of this project?
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6. Outline endpoints, how will it expedite treatments to Duchenne patients?
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7. What is the budget?
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What other funding are you receiving/requesting?
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